NHS Greater Glasgow and Clyde

NHS Greater Glasgow and Clyde Joint Health Protection Plan 2010-2012 Introduction Following the introduction of the Public Health etc (Scotland) Act 2008, I am pleased to present NHS Greater Glasgow and Clyde’s first Joint Health Protection Plan for the period 2010-2012. This has been written in conjunction with the six local authorities within the Board area. Although small areas of North and South Lanarkshire local authorities fall within the boundaries of NHS Greater Glasgow and Clyde, those areas have contributed to NHS Lanarkshire’s Joint Health Protection Plan. The plan provides an overview of health protection (communicable disease and environmental health) priorities, provision and preparedness within Greater Glasgow and Clyde. The plan describes how the Board and the Local Authorities deal with the range of health protection topics and it also outlines areas we have identified that require further work. Dr Linda de Caestecker Director of Public Health NHS Greater Glasgow and Clyde 22nd February 2010 2 Glossary CHP and CHCP Community Health Partnerships and Community Health and Care Partnerships have been introduced to manage a wide range of local health services delivered in health centres, clinics, schools and homes. There are 10 CHPs across Greater Glasgow and Clyde including 6 CHCPs which are also responsible for delivering social work services. Competent Person Under the Public Health etc (Scotland) Act 2008, all health boards and local authorities must designate competent persons to carry out certain functions conferred to them under the Act. Competent persons must have the prescribed qualifications in terms of training and experience and take part in continuing professional development. SOA The Single Outcome Agreement (SOA) framework underpins funding provided to local government and sets out a national performance framework based around the five strategic objectives of the Scottish Government (wealthier and fairer; smarter; healthier; greener; safer and stronger), which are underpinned by national outcomes, national performance indicators and local performance indicators. The SOA demonstrates how each of the 32 Councils and their Community Planning Partners contribute to delivering the national outcomes, prioritised by the Scottish Government. 3 1. Overview of NHS Greater Glasgow and Clyde and its six local authorities NHS Greater Glasgow and Clyde NHS Greater Glasgow and Clyde Health Board is responsible for the health needs of the population living in the six local authority areas within the Board’s remit, amounting to approximately 1.2 million people, almost a quarter of the entire Scottish population. The geographical area covered is diverse; it covers the major city of Glasgow, large and small towns, villages and some rural areas. As such it presents considerable challenges in ensuring that the health needs of the population are met. The population of NHS Greater Glasgow and Clyde (NHSGGC) is much more socially deprived compared to the population of Scotland; 41.8% of the population of NHSGGC is classified as deprived, compared to 18.2% of Scotland (Carstairs deprivation categories 6 and 7). This remains a considerable challenge for NHSGGC given the strong links between social deprivation and ill health. Glasgow City Council Glasgow City Council is the largest of Scotland's 32 local authorities, providing essential frontline and support services to the people of Glasgow. Glasgow is the largest city in Scotland and the fourth largest in the UK. While the last 50 years have seen its population fall from over one million in 1951 to 580,690 in 2006, there are signs that this situation is changing. Between 2001 and 2006, the city’s population has increased by almost 400 each year. In the next 10 years we expect the number of working-age people and pre-school age children to increase, while the number of school-age children and people of pensionable age will fall. This means that, compared to other large cities in the UK, Glasgow is a relatively young city, with around one-third of residents aged 15 to 34. The city continues to lose people to the surrounding areas. However, this loss is more than compensated for by people moving to the city from abroad. Important factors in this include Glasgow’s Asylum Seeker contract, and more recently, people moving into the city from countries joining the European Union such as Poland, Slovakia and the Czech Republic, which has brought an estimated 10,000 extra people to the city. 4 East Dunbartonshire East Dunbartonshire lies to the North of Glasgow, bounded by the Campsie Fells and the Kilpatrick Hills. It has a population of around 105,000 and comprises the suburban and rural towns and villages of Bearsden, Bishopbriggs, Kirkintilloch, Lennoxtown, Lenzie, Milngavie, Milton of Campsie, Torrance and Twechar. It is a flourishing area, with relatively high levels of home and car ownership. It also offers a healthy environment, and is one of the safest areas in Scotland to live, with levels of recorded crime well below the national average. The people living in East Dunbartonshire experience relatively good health. Life expectancy rates for males, at 77 years, are among the highest in the country, whilst life expectancy for women at, 81 years, is well above the national average. However, there remains a significant difference in life expectancy between the more prosperous areas of Milngavie, Bearsden and Lenzie compared to the less prosperous parts of East Dunbartonshire. The demography of East Dunbartonshire is changing, presenting a challenge for the continuing delivery of health services and supporting the increasing number of older people. Population changes in East Dunbartonshire to 2024 are expected to be similar to the Scottish average, with those over 75 years of age likely to increase by 71%. West Dunbartonshire West Dunbartonshire comprises three main settlement areas, which have developed along the rivers Clyde and Leven. The area has a history in manufacturing including activities such as shipbuilding, sewing machines, textiles and car production. A decline in manufacturing has led to a change in the employment base for West Dunbartonshire to being primarily service industries. The area is well serviced with local amenities including the retail centres in Clydebank, Dumbarton and Alexandria. Within the boundaries of the Authority, the three large areas of water, the river Clyde, the river Leven and the southern extents of Loch Lomond combine to cover 10 square miles. The urban areas of the Authority spread from the two rivers up to the foothills of the Kilpatricks, Dumbarton Muir and Carman, and cover a land area of 11 square miles. The remaining 50 square miles of the Authority area comprises greenbelt, farmland, foothills and the raised bogland of the countryside area. West Dunbartonshire has a population of 91,090. For men in West Dunbartonshire, life expectancy (at birth) is estimated to be 71.1 years, 1.8 years lower than the Scottish average, and has risen by about 0.6 years in the period 1994- 98 to 2001-05. Female life expectancy (77.7 years) has risen by nearly a year in the same period and is approximately 2.8 years lower than the Scottish average. East Renfrewshire East Renfrewshire covers an area of approximately 67 square miles and exhibits a diverse range of environments. East Renfrewshire is regarded as one of the best places to live in Scotland; however it is also an area of contrasts. While there are areas that are predominantly affluent and have high levels of employment and good health, there are also pockets of disadvantage and deprivation that are amongst the worst found in Scotland. In 2006, the total number of people resident in East Renfrewshire was 89,220. The built-up area of East Renfrewshire generally offers a good quality urban environment, and whilst it is predominantly residential, there are concentrations of other uses, such as business and industry. There is also a range of complementary uses in the residential areas, such as schools, shops and community facilities. There is a network of important, local urban green spaces comprising playing fields, woodlands, formal and informal parks along with amenity open spaces. These contribute positively to local amenity and the quality of life for residents. Renfrewshire Renfrewshire Council is situated to the west of Glasgow on the south bank of the River Clyde and covers nearly 103 square miles. To the west lies Inverclyde Council, to the south is North Ayrshire Council and East Renfrewshire is located to the south east. Renfrewshire has a population of over 177,000, making it the ninth largest council in Scotland in terms of its population. Paisley, with an estimated population of some 78,000 forms the commercial and transport hub for Renfrewshire. It has a rich heritage of civic architecture built during its days as a centre of textile and thread manufacture. The Royal Burgh of Renfrew lies to the north of Paisley and the 18th century planned town of Johnstone lies to the west. Glasgow International Airport is located to the north of Paisley and is easily accessed from the M8 Motorway and Paisley Town Centre. It is one of Scotland’s busiest 5 airports. It is a key part of the transportation infrastructure of Scotland and is a major contributor to Renfrewshire’s economy. Renfrewshire Council is committed to its role as a health improving organisation, and recognises its responsibility in working with partners to improve the health of local communities. The focus is essential due to the significant health inequalities that exist in Renfrewshire, linked often to levels of deprivation within communities. For example, life expectancy is lower in Renfrewshire than the Scottish average at 72.5 years for men and 78.3 years for women, compared with the national averages of 74.2 and 79.2 years. This remains a considerable challenge for Renfrewshire given the strong links between social deprivation and ill health.

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